临床研究钢丝加压固定治疗髌骨骨折对膝关节早期功能.PDFVIP

2007 11 20 11 China J Orthop Trau a, Nov. 2007, V ol. 20, No. 11 739 田江宜, 张伟, 湛川 (, 110032) ! : 探讨全钢丝加压固定治疗髌骨骨折对早期膝关节功能恢复的作用: 髌骨骨折患者 21例, 男 15例, 6例; 年龄 24~ 65岁, 平均 34岁髌骨粉碎性骨折 8例, 髌骨上极分离骨折 2例, 下极分离 骨折 6例, 中份骨折 5例采用自行设计的全钢丝加压固定治疗髌骨骨折的方法, 于已复位的髌骨上纵行垂直 钻好的 2 个骨孔内分别穿入 3道钢丝, 1道 U形捆扎, 1道向对侧半环形捆扎, 两侧对称, 另 1道为∀ 8#字加压固 定: 21例均获随访, 随访时间 3~ 15 个月, 术后 4~ 6周骨折愈合依照张春才膝关节疗效评定标准: 优 19例, 良 2例: 全钢丝加压固定治疗髌骨骨折强度可靠, 不需外固定, 术后膝关节能早期功能锻炼, 避免 了膝关节强直等并发症的发生 ! 骨固定钢丝; 髌骨; 骨折; 功能恢复 Clinicalvalue ofwhole steelwire compression fixation for treating patella fracture to early functional recover of the knee TIAN J iangy i, ZH AN G We,i ZHAN Chuan. D ep ar tm ent of O rthop aedics, the 4st Aff i iated H o sp ita, Ch ina M edica Uni v ersity, Shenyang 110032, L iaoning, Ch ina ABSTRACT Objective:To investigatewhole steelwire co pression fixation for treating patella fracture to recover the func tion of the knee earlier. ethods:Therewere 21patientsw ith patella fracture involving 15 ales and 6 fe ales, w ith an aver age age of34 years ( ranged 24 to 65). A ong 21patients, 8 patientswere co inuted fractures, 2were superior patellar pole diastatic fracture, 6were anus perineu diastatic fracture, 5were id fracture. Thewhole steelwire co pression fixationwas a dopted to treat patella fracture. Three steelw ireswere penetrated into two bone holewhich had been drilled verticaly respec tively. Onewas bundled up like∀ U#, and onewas bundled up fro side to side in half a ring sy etrically, anotherwas used to co pressed fixate like∀ 8#. Results: Twentyone caseswere followed up for 3 to 15 onths, ti e of fracture healingwas 4 to 6 weeks after operation. According to the evaluation criterion of the knee therapeutic effect ofZH AN G Ch uncai, the resultwas excellent in 19 cases, good in 2 cases. Conclusion:There are characteristic by the reliable intension, no requir